Mary Elizabeth Jordan, R.N.

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

607446 Issued in NY

Practice address

20514 Linden Blvd
Suite 204
Saint Albans, NY 11412-2900

Phone

(718) 528-5493

NPI assigned

Mar 25, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237939200000",
    "number": "1629210455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 JUANITA AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117435529",
            "telephone_number": "347-241-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20514 LINDEN BLVD",
            "address_2": "SUITE 204",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122900",
            "telephone_number": "718-528-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "607446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tashana Tamara Johnson, RN
• William Gill Johnson
• Jordane Jolley, LMSW
• April Jalmillah Jones
• Tracy Jones
• Simmy Jose, P.T.
• Joya Adeyomi Joseph, LCSW
• Lucille Joseph
• Natasha Joseph
• Synthia Joseph

• Home Health Registered Nurse in Saint Albans, NY
• Providers in Saint Albans, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.